Michele F Beeler, DMD

Individual provider Active NPI General Practice Dentistry · Liberty, KY

NPI 1811052111 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811052111
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6918 (KY)
Practice address
650 Whipp Ave.
Liberty, KY 42539
Phone
(606) 787-5222
Fax
(606) 787-9599
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6918KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6918 KY Yes

Addresses

Primary practice location

650 Whipp Ave.
Liberty, KY 42539

Mailing address

650 Whipp Ave.
P. O. Box 1166
Liberty, KY 42539
Phone (606) 787-5222

Other providers in Liberty, KY

All providers in Liberty, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.